<!DOCTYPE html>
<html>
	<head>
		<meta charset="ISO-8859-1">
		<title>LOOPS - Cadastro Usuário</title>
	</head>
	<body>
		<div class="cadastro-usuario-form" id="cadastro-usuario-form">
			<form action="../jsp/cadastroUsuario.jsp" method="get">
				<legend><h1>Cadastro de usu&aacute;rio</h1></legend>
				<table>
					<tr>
						<td>Nome:</td>
						<td><input type="text" name="firstname" size=49 maxlength=49></td>
					</tr>
					<tr>
						<td>Sobrenome:</td>
						<td><input type="text" name="lastname" size=49 maxlength=49></td>
					</tr>
					<tr>
						<td>Telefone</td>
						<td><input type="text" name="phone" size=11 maxlength=11></td>
					</tr>
					<tr>
						<td>E-mail:</td>
						<td><input type="text" name="email" size=99 maxlength=99></td>
					</tr>
					<tr>
						<td>Data de nascimento:</td>
						<td>
							<select name="day">
								<option value="1">01</option>
								<option value="2">02</option>
								<option value="3">03</option>
								<option value="4">04</option>
								<option value="5">05</option>
								<option value="6">06</option>
								<option value="7">07</option>
								<option value="8">08</option>
								<option value="9">09</option>
								<option value="10">10</option>
								<option value="11">11</option>
								<option value="12">12</option>
								<option value="13">13</option>
								<option value="14">14</option>
								<option value="15">15</option>
								<option value="16">16</option>
								<option value="17">17</option>
								<option value="18">18</option>
								<option value="19">19</option>
								<option value="20">20</option>
								<option value="21">21</option>
								<option value="22">22</option>
								<option value="23">23</option>
								<option value="24">24</option>
								<option value="25">25</option>
								<option value="26">26</option>
								<option value="27">27</option>
								<option value="28">28</option>
								<option value="29">29</option>
								<option value="30">30</option>
								<option value="31">31</option>
							</select>
							<select name="mouth">
								<option value="1">janeiro</option>
								<option value="2">fevereiro</option>
								<option value="3">marco</option>
								<option value="4">abril</option>
								<option value="5">maio</option>
								<option value="6">junho</option>
								<option value="7">julho</option>
								<option value="8">agosto</option>
								<option value="9">setembro</option>
								<option value="10">outubro</option>
								<option value="11">novembro</option>
								<option value="12">dezembro</option>
							</select>
							<select name="year">
								<option value="2000">2000</option>
								<option value="1999">1999</option>
								<option value="1998">1998</option>
								<option value="1997">1997</option>
								<option value="1996">1996</option>
								<option value="1995">1995</option>
								<option value="1994">1994</option>
								<option value="1993">1993</option>
								<option value="1992">1992</option>
								<option value="1991">1991</option>
								<option value="1990">1990</option>
								<option value="1989">1989</option>
								<option value="1988">1988</option>
								<option value="1987">1987</option>
								<option value="1986">1986</option>
								<option value="1985">1985</option>
								<option value="1984">1984</option>
								<option value="1983">1983</option>
								<option value="1982">1982</option>
								<option value="1981">1981</option>
								<option value="1980">1980</option>
								<option value="1979">1979</option>
								<option value="1978">1978</option>
								<option value="1977">1977</option>
								<option value="1976">1976</option>
								<option value="1975">1975</option>
								<option value="1974">1974</option>
								<option value="1973">1973</option>
								<option value="1972">1972</option>
								<option value="1971">1971</option>
								<option value="1970">1970</option>
								<option value="1970">1969</option>
								<option value="1970">1968</option>
								<option value="1970">1967</option>
								<option value="1970">1966</option>
								<option value="1970">1965</option>
								<option value="1970">1964</option>
								<option value="1970">1963</option>
								<option value="1970">1962</option>
								<option value="1970">1961</option>
								<option value="1970">1960</option>
								<option value="1970">1959</option>
								<option value="1970">1958</option>
								<option value="1970">1957</option>
							</select>
						</td>
					</tr>
					<tr>
						<td>Pais:</td>
						<td>
							<select>
								<option value="Brasil">Brasil</option>
							</select>
						</td>
					</tr>
					<tr>
						<td>Estado:</td>
						<td>
							<select>
								<option value="Brasil">Brasil</option>
							</select>
						</td>
					</tr>
					<tr>
						<td>Cidade:</td>
						<td>
							<select>
								<option value="Brasil">Brasil</option>
							</select>
						</td>
					</tr>
					<tr>	
						<td>Bairro:</td>
						<td><input type="text" name="login" size=30 maxlength=30></td>
					</tr>
					<tr>	
						<td>Login:</td>
						<td><input type="text" name="login" size=30 maxlength=30></td>
					</tr>
					<tr>
						<td>Senha:</td>
						<td><input type="password" name="password" size=16 maxlength=16></td>
					</tr>
				</table>
				<input type="submit">
				<input type="reset" value="Limpar">
			</form>
		</div>
	</body>
</html>